Licensee Name:PROVIDENCE HOLY CROSS MED CTR PHY
License Type:HOSPITAL PHARMACY
License Number:41726
License Status:CLEAR Definition
Expiration Date:July 01, 2015
Issue Date:July 29, 1996
Address:15031 RINALDI STREET
City:MISSION HILLS
State:CA
Zip:91345-1285
County:LOS ANGELES
Actions:No
NumberNameTypeStatus
100274PROVIDENCE HOLY CROSS MED CTR PHY BASEMENTLICENSED STERILE COMPOUNDINGCLEAR
50317BUI TAWNY TRAMREGISTERED PHARMACISTCLEAR

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